尼日利亚东南部埃努古市托儿所和小学儿童肠道蠕虫病的一些行为风险因素。

Some behavioural risk factors for intestinal helminthiasis in nursery and primary school children in Enugu, south eastern Nigeria.

作者信息

Ilechukwu G C, Ilechukwu C G A, Ozumba A N, Ojinnaka N C, Ibe B C, Onwasigwe C N

机构信息

Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu.

出版信息

Niger J Clin Pract. 2010 Sep;13(3):288-93.

PMID:20857787

Abstract

UNLABELLED

The objective of this study was to determine some common behavioural risk factors for intestinal helminthiasis in nursery and primary school children in Enugu.

DESIGN

A cross-sectional survey on 460 children attending nursery and primary schools in Enugu was carried out in 2003 with a view to determine some behavioural risk factors for intestinal helminthiasis.

SETTING

This study was carried out in the research laboratory of the Federal Ministry of Health, National Arbovirus and Vector Research Centre, Enugu.

METHOD

Intestinal helminthiasis was diagnosed using the kato-katz method in analysing fresh stool samples collected from nursery and primary school children in Enugu. These fresh stool samples were collected into appropriately labeled clean containers. Questionnaires were administered by the researchers to obtain data from the children and their parents or guardians as regards some behavioural risk factors for intestinal helminthiasis.

RESULTS

The results from this study showed that the prevalence of intestinal helminthiasis was significantly affected by various behavioural risk factors. The rate of helminthic infection varied significantly with hand washing habits after defeacation (chi2 = 75.77; df= 2; p = 0.001) and with different habits of washing fruits before eating (chi2 = 52.79; df=2; p = 0.001) among the pupils. Also, the rate ofhelminthic infection varied significantly with the source of drinking water (chi2 = 55.12; df = 3; p = 0.01), water boiling habits (chi2 = 40.89; df = 2; p = 0.001), use of footwear after school hours (chi2 = 30.72; df = 2; p = 0.001). Sites utilized for defeacation by the pupils (chi2 = 80.25; df=3; p = 0.001) also significantly influenced the rate ofhelminthic infection.

CONCLUSION

Various behavioural factors which significantly affect the rate of helminthic infection abound in children living in Enugu. The government should give attention to the control of these behavioural risk factors. A lot of health education will be needed to curb the poor personal hygienic habits which are obvious risk factors for intestinal helminthiasis.

摘要

未加标注

本研究的目的是确定埃努古市幼儿园和小学儿童肠道蠕虫病的一些常见行为风险因素。

设计

2003年对埃努古市幼儿园和小学的460名儿童进行了横断面调查，以确定肠道蠕虫病的一些行为风险因素。

地点

本研究在埃努古市联邦卫生部国家虫媒病毒和病媒研究中心的研究实验室进行。

方法

采用加藤厚涂片法对从埃努古市幼儿园和小学儿童采集的新鲜粪便样本进行分析，以诊断肠道蠕虫病。这些新鲜粪便样本被收集到适当标记的干净容器中。研究人员通过问卷调查从儿童及其父母或监护人那里获取有关肠道蠕虫病一些行为风险因素的数据。

结果

本研究结果表明，肠道蠕虫病的患病率受到各种行为风险因素的显著影响。在学生中，蠕虫感染率因排便后洗手习惯（χ² = 75.77；自由度 = 2；p = 0.001）以及吃水果前不同的清洗习惯（χ² = 52.79；自由度 = 2；p = 0.001）而有显著差异。此外，蠕虫感染率因饮用水源（χ² = 55.12；自由度 = 3；p = 0.01）、水煮水习惯（χ² = 40.89；自由度 = 2；p = 0.001）、放学后穿鞋子的情况（χ² = 30.72；自由度 = 2；p = 0.001）而有显著差异。学生排便的地点（χ² = 80.25；自由度 = 3；p = 0.001）也对蠕虫感染率有显著影响。